| NPI | 1902428725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810008241) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC 1604) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-06-14 |